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ASM Registration Forms 2021
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ASM Registration Forms 2021
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7/29/2021 8:53:00 AM
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7/28/2021 3:24:42 PM
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ANNUAL STATE MEETING <br /> v� ��Ea�At WISCONSIN REAL PROPERTY LISTERS ASSOCIATION <br /> 3 RPLA SEPTEMBER 15- 17, 2021 <br /> C <br /> ONeil ale REGISTRATION FORM <br /> RETURN REGISTRATION AND PAYMENT BY AUGUST 10,2021 <br /> NAME BARBARA SZILAGYI Make your check(s)payable to: <br /> WRPLA <br /> CITY/COUNTY DANE COUNTY Send registration and payment(s)to: <br /> ADDRESS DANE COUNTY PLANNING AND DEVELOPMENT Ruth Winter <br /> 210 MLK JR BLVD, RM 116 PO Box 279 <br /> MADISON,WI 53703 Keshena,WI 54135-0279 <br /> MEMBER REGISTRATION(PER PERSON) GUEST REGISTRATION <br /> Name of guest(s) <br /> Includes 3 Breakfasts,2 lunches,all breaks and Thursday Evening Banquet <br /> Wednesday breakfast $ 10.00 X = $ - <br /> Note-no partial registrations will be accepted $140.00 Wednesday lunch $ 12.00 X = $ - <br /> Thursday breakfast $ 10.00 X = $ - <br /> Thursday lunch $ 12.00 X = $ - <br /> Thursday banquet $ 24.00 X = $ - <br /> Friday breakfast $ 10.00 X = $ - <br /> Total member registration $140.00 Total guest registration $ - <br /> I will attend Tuesday Dinner No <br /> I will attending Golf Outing No I will attend the Tuesday Dinner at Carrington Pub&Grill <br /> On Thursday I would prefer the following dinner for the banquet: On Thursday I would prefer the following dinner for the banquet: <br /> Tilapia NO Tilapia <br /> Roasted Chicken Breast NO Roasted Chicken Breast <br /> Grilled Pork Cutlet NO I Grilled Pork Cutlet <br /> Please indicate here if you have any dietary restrictions Please indicate here if you have any dietary restrictions <br /> Restrictions: Restrictions: <br />
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